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Show Chronic Diseases Organ Transplantation Compiled by Paul Peterson Organ transplantation within the United States is organized through the Organ Transplantation and Procurement Network (OTPN). This organization tracks data relevant to transplantation within the U.S. from 254 participating transplant centers throughout the country. Examples of these data include the current number of individuals waiting for transplants and. since 1988, the number of organ transplants performed annually. Utah has four transplant centers. They are LDS Hospital, Primary Children's Medical Center, University of Utah Medical Center and the Veteran's Administration Hospital. There are 11 regions nationally. Utah is in region 5, which also includes California, Nevada, New Mexico and Arizona, and Hawaii. Organs are now distributed widely, though this is limited by ischemic organ viability. Between 1988 and 2002, the number of liver transplants done annually increased quite dramatically in the state and the Region, going from 12 in 1988 to 56 in 2002 in Utah and from 227 to 838 in Region 5 (Table 1). Since the early 1990s, the number of heart transplant surgeries performed annually has decreased in both Region 5 and Utah (Figure 3 & 4). According to the LDS Hospital Heart Transplant Department, this is due to more stringent compatibility testing, which insures greater transplant viability. During the same time period, the number of single lung transplants in the Region increased from 32 surgeries in 1990 to 156 in 2001 (Table 2). Kidney transplants in Utah and Region 5 have steadily increased (Figures 1 & 2). To become a registered organ donor, please go to http:// www.yesutah.org/. Table 1. Number of Kidney and Liver Transplants, Utah and UNOS Region 5, 1988-2002. Kidney Liver (CPT 50360) (CPT 4 Year Utah Region 5 Utah Region 5 1988 107 1,504 12 227 1989 95 1,445 18 355 1990 118 1,540 16 417 1991 133 1,634 21 519 1992 108 1,518 15 601 1993 132 1,684 19 633 1994 115 1,625 29 653 1995 131 1,677 41 664 1996 132 1,734 36 718 1997 123 1,768 38 689 1998 144 1,890 45 693 1999 151 1,798 46 707 2000 131 1,960 43 720 2001 143 2,089 38 816 2002 141 2,208 56 838 % Change, 1998-2002 32% 47% 367% 269% Figure 1. Number of Kidney and Liver Transplants, Utah, 1988-1999. Figure 2. Number of Kidney and Liver Transplants, UNOS Region 5,1988-2002. 250 i 200 150 100 50 ¦Liver - - - ¦ Kidney - - - Kidney------- -Liver <7> 2500 - isplant 2000 - 0 er of Tra 1500 -1000 - si £ 500 - 0 - Year Year Sources: Tiie Organ Procurement and Transplantation Network. [Online] httg^yVwv Transweb. [Online] http://www.transweb.org. Retrieved 8/8/03. U.S. Census Bureau. [Online] fafp:;7wvv>v.cenaii5.aov/p?odAvww/stadstical-3bstraet-us.btiiu. Retrieved 3/25/03. ]^^ Retrieved 3/24/03. 98 Utah's Health: An Annual Review Volume DC |
